Author Question: A factory abruptly closes during hard economic times. Six weeks later, an office worker has not ... (Read 41 times)

kodithompson · **on:** Jul 19, 2018

A factory abruptly closes during hard economic times. Six weeks later, an office worker has not received a single call-back from a prospective employer.

He cannot sleep, is irritable, does not want to interact with his family or peers, paces frequently, and spends several hours most days alone in a local bar. Bills are piling up. He has given up applying for jobs. Which nursing intervention would be most important at this time? a. Explore his feelings supportively and guide him to focus on one concern at a time.
b. Discuss ways to improve mood and reduce anxiety, such as exercise and interaction.
c. Help him apply for financial assistance such as food stamps and utility reductions.
d. Work with patient and family to assure that any guns have been removed from the home.

Question 2

The care provider is considering a client's request to attend a family picnic with him. The care provider is about to cross a

1. personal boundary.
2. procedural boundary.
3. professional boundary.
4. institutional boundary.

aliotak · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
All of these interventions would be appropriate, but given his risk to self secondary to depression, hopelessness, ineffective coping, and isolation, safety is the highest priority. Persons in phase 4 of a crisis can also become violent towards others. Removing weapons from the home removes a common, lethal means of harming others.

Answer to Question 2

3
Professional boundaries define which therapeutic actions foster independence as opposed to unhealthy dependence.